Welcome!

News Feed Item

MemorialCare Medical Foundation, the Physician Division of MemorialCare Health System, 1st in Orange County and Greater Long Beach Region to Offer Anthem Blue Cross Enhanced Personal Health Care ACO PPO Program

MemorialCare Medical Group and Greater Newport Physicians Join New Program That Improves Care and Coordination of Chronic Conditions with Strong Focus on Prevention and Added Services to Improve Health of Patients

LOS ANGELES and ORANGE Counties, Calif., April 8, 2014 /PRNewswire-USNewswire/ -- Anthem Blue Cross and MemorialCare Medical Foundation, the physician division of MemorialCare Health System, announced that they are collaborating to offer Anthem's Enhanced Personal Care program in the Orange County and Greater Long Beach region. The initiative is designed to provide comprehensive, coordinated medical care to Anthem PPO members through an Accountable Care Organization (ACO) partnership with MemorialCare Medical Group and Greater Newport Physicians—MemorialCare Medical Foundation's extensive physician networks in the two-county area. Edinger Medical Group, an affiliate of Greater Newport Physicians, is also participating in the ACO.

The new program provides high-quality, evidence-based care focused on improving health outcomes, patient satisfaction and value for health plan members with multiple chronic conditions such as heart disease, cancer, pulmonary and autoimmune diseases, orthopedic disorders and other chronic syndromes. Care is organized by teams of physicians, registered nurses and other practitioners who coordinate medical services based on individualized needs and guide members through the health care system in the most effective and efficient ways possible.

Patients enrolled in a traditional PPO plan typically can choose to receive care from many physicians in different provider networks. Under this new ACO, there will be increased emphasis on coordination among all providers involved with the patient's care, which includes a strong focus on prevention and chronic care management with additional services to improve the health of patients.

"We are pleased to bring Anthem's Enhanced Personal Health Care Program to Orange County and Greater Long Beach," says Mark Schafer, MD, CEO of MemorialCare Medical Foundation. "For decades, our physician organizations have been successful in providing exceptional coordinated care to Southland consumers. Anthem's PPO members can now receive the benefits of care management from our extraordinary physicians, nurses and other clinicians."

Patients diagnosed with chronic conditions that require complex treatments and medical regimens face frequent challenges in navigating an equally complex medical system on their own. The health management approach  long embraced by MemorialCare Health System, its hospitals, physician groups and outpatient centers will help Anthem PPO members achieve better medical outcomes and better health overall. In fact, research shows that coordinated care approaches to address chronic conditions result in healthier, more satisfied and productive individuals as well as significant reductions in hospital admissions, health care costs and missed workdays.

"With more than a dozen ACOs across the state, Anthem's size, stature and footprint allow us to provide coordinated care to members across California from San Diego to the Oregon border," said Mark Morgan, president of Anthem Blue Cross. "MemorialCare has already been a great partner – including as part of our exchange network – and we look forward to partnering with them on a program that's proven to help those with significant chronic diseases get better care."

Treatment for the top 1% of patients with chronic conditions accounts for 25% of all health care spending for the privately insured. Between multiple hospital stays, emergency department visits and prescription drugs, medical spending for this group can quickly add up to hundreds of thousands of dollars. Physicians and medical experts agree that a collaborative and coordinated approach to treat chronic conditions is key to successfully improving the health and wellness of patients while helping address the growing costs associated with treatment.

Anthem's initial ACO partners have shown improvements in many clinical areas, including significant increases in numbers of mammograms performed and appropriate prescribing of antibiotics for treating bronchitis. Research also found participants had improved mental functioning, and many in the program reported that care was "received as soon as needed." These results highlight the value achieved by working collaboratively and are notable as they were achieved for PPO enrollees who have the freedom to see doctors outside the ACO.  In contrast, other high-profile ACO programs are available only to the HMO population, which by definition, already has coordinated care within a limited network. 

"Doctors have long searched for better ways to treat the chronically ill," said Dr. Michael Belman, medical director at Anthem Blue Cross. "Anthem's Enhanced Personal Health Care program is a new solution to that age old problem. I look forward to working in collaboration with MemorialCare's medical directors to help improve care for those with multiple chronic conditions. We both believe this approach will improve the quality of care and contribute to slowing the increases in health care costs."

Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association.® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross names and symbols are registered marks of the Blue Cross Association. Also follow us on Twitter at www.twitter.com/healthjoinin, on Facebook at www.facebook.com/HealthJoinIn, or visit our YouTube channel at www.youtube.com/healthjoinin.

MemorialCare Medical Foundation is the physician division of MemorialCare Health System, a not-for-profit integrated health care delivery system with 200 care sites that include six hospitals, medical groups, a health plan, ambulatory surgery centers, imaging facilities, urgent care and numerous outpatient centers in Los Angeles and Orange counties. MemorialCare is one of just 35 global recipients of Gallup Great Workplace Award, recognizing the extraordinary commitment of its 11,000-plus highly engaged employees. More than 2,000 employed and affiliated physicians are part of MemorialCare Medical Foundation's two divisions—MemorialCare Medical Group and Greater Newport Physicians, an Independent Practice Association (IPA). Both have been named top performing physician groups by trade, consumer and patient advocacy organizations. For more information, visit www.memorialcare.org.

SOURCE MemorialCare Health System

More Stories By PR Newswire

Copyright © 2007 PR Newswire. All rights reserved. Republication or redistribution of PRNewswire content is expressly prohibited without the prior written consent of PRNewswire. PRNewswire shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon.

Latest Stories
Today we can collect lots and lots of performance data. We build beautiful dashboards and even have fancy query languages to access and transform the data. Still performance data is a secret language only a couple of people understand. The more business becomes digital the more stakeholders are interested in this data including how it relates to business. Some of these people have never used a monitoring tool before. They have a question on their mind like “How is my application doing” but no id...
Actian Corporation has announced the latest version of the Actian Vector in Hadoop (VectorH) database, generally available at the end of July. VectorH is based on the same query engine that powers Actian Vector, which recently doubled the TPC-H benchmark record for non-clustered systems at the 3000GB scale factor (see tpc.org/3323). The ability to easily ingest information from different data sources and rapidly develop queries to make better business decisions is becoming increasingly importan...
The 19th International Cloud Expo has announced that its Call for Papers is open. Cloud Expo, to be held November 1-3, 2016, at the Santa Clara Convention Center in Santa Clara, CA, brings together Cloud Computing, Big Data, Internet of Things, DevOps, Digital Transformation, Microservices and WebRTC to one location. With cloud computing driving a higher percentage of enterprise IT budgets every year, it becomes increasingly important to plant your flag in this fast-expanding business opportuni...
Qosmos has announced new milestones in the detection of encrypted traffic and in protocol signature coverage. Qosmos latest software can accurately classify traffic encrypted with SSL/TLS (e.g., Google, Facebook, WhatsApp), P2P traffic (e.g., BitTorrent, MuTorrent, Vuze), and Skype, while preserving the privacy of communication content. These new classification techniques mean that traffic optimization, policy enforcement, and user experience are largely unaffected by encryption. In respect wit...
Deploying applications in hybrid cloud environments is hard work. Your team spends most of the time maintaining your infrastructure, configuring dev/test and production environments, and deploying applications across environments – which can be both time consuming and error prone. But what if you could automate provisioning and deployment to deliver error free environments faster? What could you do with your free time?
SYS-CON Events announced today that Hitrons Solutions will exhibit at the 19th International Cloud Expo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. Hitrons Solutions Inc. is distributor in the North American market for unique products and services of small and medium-size businesses, including cloud services and solutions, SEO marketing platforms, and mobile applications.
Smart Cities are here to stay, but for their promise to be delivered, the data they produce must not be put in new siloes. In his session at @ThingsExpo, Mathias Herberts, Co-founder and CTO of Cityzen Data, will deep dive into best practices that will ensure a successful smart city journey.
SYS-CON Events announced today that 910Telecom will exhibit at the 19th International Cloud Expo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. Housed in the classic Denver Gas & Electric Building, 910 15th St., 910Telecom is a carrier-neutral telecom hotel located in the heart of Denver. Adjacent to CenturyLink, AT&T, and Denver Main, 910Telecom offers connectivity to all major carriers, Internet service providers, Internet backbones and ...
SYS-CON Events announced today that eCube Systems, a leading provider of middleware modernization, integration, and management solutions, will exhibit at @DevOpsSummit at 19th International Cloud Expo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. eCube Systems offers a family of middleware evolution products and services that maximize return on technology investment by leveraging existing technical equity to meet evolving business needs. ...
DevOps at Cloud Expo – being held November 1-3, 2016, at the Santa Clara Convention Center in Santa Clara, CA – announces that its Call for Papers is open. Born out of proven success in agile development, cloud computing, and process automation, DevOps is a macro trend you cannot afford to miss. From showcase success stories from early adopters and web-scale businesses, DevOps is expanding to organizations of all sizes, including the world's largest enterprises – and delivering real results. Am...
Pulzze Systems was happy to participate in such a premier event and thankful to be receiving the winning investment and global network support from G-Startup Worldwide. It is an exciting time for Pulzze to showcase the effectiveness of innovative technologies and enable them to make the world smarter and better. The reputable contest is held to identify promising startups around the globe that are assured to change the world through their innovative products and disruptive technologies. There w...
Internet of @ThingsExpo, taking place November 1-3, 2016, at the Santa Clara Convention Center in Santa Clara, CA, is co-located with 19th Cloud Expo and will feature technical sessions from a rock star conference faculty and the leading industry players in the world. The Internet of Things (IoT) is the most profound change in personal and enterprise IT since the creation of the Worldwide Web more than 20 years ago. All major researchers estimate there will be tens of billions devices - comp...
DevOps at Cloud Expo, taking place Nov 1-3, 2016, at the Santa Clara Convention Center in Santa Clara, CA, is co-located with 19th Cloud Expo and will feature technical sessions from a rock star conference faculty and the leading industry players in the world. The widespread success of cloud computing is driving the DevOps revolution in enterprise IT. Now as never before, development teams must communicate and collaborate in a dynamic, 24/7/365 environment. There is no time to wait for long dev...
SYS-CON Events announced today that StarNet Communications will exhibit at the 19th International Cloud Expo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. StarNet Communications’ FastX is the industry first cloud-based remote X Windows emulator. Using standard Web browsers (FireFox, Chrome, Safari, etc.) users from around the world gain highly secure access to applications and data hosted on Linux-based servers in a central data center. ...
Traditional on-premises data centers have long been the domain of modern data platforms like Apache Hadoop, meaning companies who build their business on public cloud were challenged to run Big Data processing and analytics at scale. But recent advancements in Hadoop performance, security, and most importantly cloud-native integrations, are giving organizations the ability to truly gain value from all their data. In his session at 19th Cloud Expo, David Tishgart, Director of Product Marketing ...